Abstract
The first successful replacement of an aortic arch aneurysm was carried out in Houston, Texas, by DeBakey in 1957 using an aortic homograft (1). For many years to follow, the morbidity and mortality for the treatment of aortic pathology in the transverse arch location remained unacceptably high. Most early operations were carried out using one of two methods (2, 3). One technique was to establish circulation to the brachiocephalic vessels by placement of temporary bypass grafts originating off the proximal ascending aorta to be taken down at the completion of arch replacement. A second was antegrade direct perfusion of the brachiocephalic vessels using cardiopulmonary bypass. In each instance extensive dissection and mobilization of the cerebral arterial circulation was required. Both procedures met with an excessively high risk of stroke and mortality.
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References
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© 1997 Dr. Dietrich Steinkopff Verlag GmbH & Co. KG, Darmstadt
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Coselli, J.S. (1997). Retrograde cerebral perfusion in surgery for aortic arch aneurysms. In: Ennker, J., Coselli, J.S., Treasure, T. (eds) Cerebral Protection in Cerebrovascular and Aortic Surgery. Steinkopff. https://doi.org/10.1007/978-3-642-95987-5_29
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DOI: https://doi.org/10.1007/978-3-642-95987-5_29
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